DOI QR코드

DOI QR Code

Effects of COVID-2019 on plastic surgery emergencies in Korea

  • Yoon, Young Soo (Department of Plastic and Reconstructive Surgery, Nowon Eulji Medical Center, Eulji University School of Medicine) ;
  • Chung, Chang Ho (Department of Plastic and Reconstructive Surgery, Nowon Eulji Medical Center, Eulji University School of Medicine) ;
  • Min, Kyung Hee (Department of Plastic and Reconstructive Surgery, Nowon Eulji Medical Center, Eulji University School of Medicine)
  • Received : 2021.02.08
  • Accepted : 2021.04.19
  • Published : 2021.04.20

Abstract

Background: To fight the coronavirus disease 2019 (COVID-19) pandemic, many countries have implemented social distancing and lockdowns. We investigated the changes in the trauma patterns of emergency plastic surgeries in the midst of a pandemic. Methods: A retrospective review of the medical records of all patients treated for emergency plastic surgeries was performed at our hospital in Seoul. We conducted the analysis between March 1 and June 30, 2020, and compared the data obtained with that of the same period in 2019. We also investigated changes in trauma patterns according to the social distancing level from July 2020 to February 2021. Results: There was a total of 800 emergency plastic surgery patients from March to June 2020, which was less than the 981 in the corresponding period in 2019. The proportion of patients aged 7-17 years and ≥ 80 in 2020 showed a significant decrease. In 2020, patients presenting with facial trauma decreased and hand trauma, markedly laceration, increased significantly. In 2020, more injuries happened at home, whereas significantly fewer injuries happened on the streets. In 2020, slipping and sports injury decreased, whereas penetrating injury increased significantly. In the changes observed according to the social distancing level, there were significant differences in age classification, facial open wound, and the mechanism of injury. Conclusion: Social distancing has caused a change in emergency plastic surgeries. To ensure safe and appropriate treatment, strict epidemiologic workup and protective equipment are required.

Keywords

References

  1. Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med 2020;382:1199-207. https://doi.org/10.1056/NEJMoa2001316
  2. Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet 2020;395:470-3. https://doi.org/10.1016/s0140-6736(20)30185-9
  3. World Health Organization (WHO). WHO novel coronavirus (COVID-19) dashboard [Internet]. Geneva: WHO; c2020 [cited 2021 Apr 1]. Available from: http://www.who.int/.
  4. Korea Disease Control and Prevention Agency. Coronavirus-19, Republic of Korea [Internet]. Osong: Korea Disease Control and Prevention Agency; c2021 [cited 2021 Apr 1]. Available from: http://ncov.mohw.go.kr/en/.
  5. Ministry of Education. Press release [Internet]. Ministry of Education: Sejong; c2020 [cited 2021 Apr 1]. Available from: http://english.moe.go.kr/main.do?s=english.
  6. Zhu W, Li X, Wu Y, Xu C, Li L, Yang J, et al. Community quarantine strategy against coronavirus disease 2019 in Anhui: an evaluation based on trauma center patients. Int J Infect Dis 2020;96:417-21. https://doi.org/10.1016/j.ijid.2020.04.016
  7. Valand P, Lloyd N, Robson M, Steele J. Trauma transformed: a positive review of change during the COVID-19 pandemic. J Plast Reconstr Aesthet Surg 2020;73:1357-404.
  8. Telich-Tarriba JE, Navarro-Barquin DF. Plastic surgery emergency surgical care during the COVID-19 lockdown at a Mexico City academic center. J Plast Reconstr Aesthet Surg 2021;74:644-710. https://doi.org/10.1016/j.bjps.2020.08.141
  9. Hassan K, Prescher H, Wang F, Chang DW, Reid RR. Evaluating the effects of COVID-19 on plastic surgery emergencies: protocols and analysis from a level I trauma center. Ann Plast Surg 2020;85(2S Suppl 2):S161-S165. https://doi.org/10.1097/SAP.0000000000002459
  10. Assad S, Hickey M. Chicago sees an uptick in domestic violence calls during coronavirus outbreak [Internet]. WBBM-TV CBS 2. Chicago, IL: c2020 [cited 2021 Apr 1]. Available from: https://chicago.cbslocal.com/video/4510850-chicago-sees-an-uptickin-domestic-violence-calls-during-coronavirus-outbreak/.
  11. Kruchevsky D, Arraf M, Levanon S, Capucha T, Ramon Y, Ullmann Y. Trends in burn injuries in Northern Israel during the COVID-19 lockdown. J Burn Care Res 2021;42:135-40. https://doi.org/10.1093/jbcr/iraa154
  12. Holmes S, Bhatti N, Bhandari R, Chatzopoulou D. Toward a consensus view in the management of acute facial injuries during the Covid-19 pandemic. Br J Oral Maxillofac Surg 2020;58:571-6. https://doi.org/10.1016/j.bjoms.2020.03.024